| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $362.26 | $413.76 | $495.17 | |
CareSource
| Facility | $51.27 | $51.27 | $512.64 | |
CareSource
| Professional | $55.21 | $55.21 | $552.07 | |
Cigna
| Facility | $128.00 | $128.00 | $692.70 | |
Cigna
| Professional | $128.00 | $128.00 | $2,896.82 | |
United
| Professional | $316.00 | $406.11 | $806.22 |